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B

73/100

Above average

Gateway Vista

225 North 56Th Street, Lincoln, NE 68504

CMS 3/5 stars #10 of 14 in Lancaster County (402) 464-6371
Certified beds
80
Occupancy
91%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $8,659 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 64%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

Our read on Gateway Vista

Gateway Vista runs 80 certified beds in Lincoln under corporate for-profit ownership, and the staffing numbers here are genuinely above average, about 4.69 nurse hours per resident day, roughly 22% more than the national figure. That matters, but it comes with a catch: weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 64.3% against a national average of 45.8%. On the inspection side, the record shows nine deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $8,659. The last inspection was September 3, 2025. Good daily staffing, but a thin weekend margin and heavy churn mean care can depend on who's actually on the floor.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing22/30Stability3/15Outcomes12/15Enforcement6/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →4.33 total nurse hours per resident per day (national median 3.77)
  • →0.82 RN hours per resident per day
  • →Weekend staffing drops 13% against weekdays

Staff stability

3/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →64% of nursing staff left in the last year
  • →-2 for 2 administrator departures

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

6/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$8,659 in federal fines across 1 action(s)
  • →-2 for 1 denial(s) of Medicare payment for new admissions

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day4.69 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours0.82 hrs
National average 0.69 hrsBetter than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours4.07 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnover64.30%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: September 3, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

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Common questions about Gateway Vista

What is the ElderGrade for Gateway Vista? +

Gateway Vista holds an ElderGrade of B (73 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Gateway Vista? +

Residents receive an average of 4.69 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Gateway Vista been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Gateway Vista accept Medicaid? +

Yes, Gateway Vista is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.